Lead Coder - HCC

Omega Healthcare Solutions • Boca Raton, FL

7d • $24 - $34

About The Position

The Lead Coder - HCC serves as a liaison between Omega and the Client to help meet Client productivity goals, address process issues, and answer field employees’ questions about systems, processes, and coding. The role escalates quality or productivity issues to Omega and maintains personal productivity and quality standards in line with Client expectations or the applicable Service Level Agreement (SLA).

The Lead Coder supports new-hire orientation and training, assists with system issues, manages workflow and productivity when requested, and performs coding and quality-review work as needed. The position communicates progress, actions, and issues to designated contacts at Omega and the Client. Quality reviews are performed using Omega’s review and audit tools under the oversight of an Omega Compliance Manager. All duties must comply with Company policies and procedures, including HIPAA and compliance requirements.

Requirements

• Certified Professional Coder (CPC), CCS, RHIT, or RHIA credential.
• CRC coding credential required.
• Knowledge of Medicare and Medicaid.
• E/M leveling experience required.
• At least 2 years of recent, credentialed Risk Adjustment experience.
• At least 2 years of 3M experience.
• At least 2 years of Epic experience.
• Experience with Excel, Teams, SharePoint, and email.
• Ability to prioritize and multitask in a fast-paced, changing environment.
• Ability to work across all work types and specialties.
• Ability to self-motivate, set goals, and meet deadlines.
• Leadership, mentoring, and interpersonal skills.
• Excellent presentation, verbal, and written communication skills.
• Ability to build credibility and trust and maintain relationships with key business partners.
• Ability to maintain courteous and professional working relationships with employees at all levels.
• Excellent analytical, critical-thinking, and problem-solving skills.
• Skill in operating a personal computer and using a variety of software applications.
• Knowledge of AMA, AHA, and CMS coding conventions and rules for assigning diagnostic and surgical procedural codes.
• Knowledge of Joint Commission, coding compliance, and HIPAA HITECH standards affecting medical records, reimbursement, and accreditation.

Responsibilities

• Assist with new-hire orientation and training, including Client-specific information.
• Help resolve system problems by answering field employee questions or directing them to the appropriate party.
• Manage workflow and productivity when requested.
• Perform coding functions as necessary.
• Communicate timely updates about progress, actions, and issues to designated contacts at Omega and the Client.
• Perform quality reviews using Omega’s review and audit tools as needed, under the oversight of an Omega Compliance Manager.
• Perform duties in compliance with Company policies and procedures, including those related to HIPAA and compliance.
• Act as a liaison between Omega and the Client to support Client productivity goals and facilitate resolution of process issues.
• Answer field employees’ questions related to systems, processes, and coding, and escalate quality or productivity issues to Omega.
• Maintain productivity and quality standards in accordance with Client expectations or the applicable SLA.

Benefits

• Health coverage
• Dental coverage
• Vision coverage
• Voluntary insurance options
• 401(k) plan with employer match
• Professional development opportunities
• Paid time off
• Holiday pay
• Eligible employees may have the opportunity to participate in bonus programs, commissions, or other variable incentive plans; eligibility may vary by position, location, and tenure.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed